BIXBY PUBLIC SCHOOLS COUNSELOR APPROVAL FORM

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BIXBY PUBLIC SCHOOLS COUNSELOR APPROVAL FORM High School Summer Classes Student ID # Credit Recovery First Time Credit Counselor s Signature Student s Full Legal Name Current Grade In School Mailing Address Zip Code Father/Guardian s Name Home # Work # Cell # Mother/Guardian s Name Home # Work # Cell # Gender (check one) Male Female Parent E-mail Age School You Wish Final Grades Sent To: Class 1 Course Title Semester First Time Credit Credit Recovery Payment Options Class 2 Counselor Signature Principal Signature The following information is provided to assist parents in making a decision that is correct for the student. The summer school program is a tuition based classroom program designed for students who participate fully in the regular curriculum of our school district. It is not designed for students with significant deficits in reading, math or writing skills. Specially trained teachers are NOT available for summer school for students with special education needs. For students on in Individualized Education Plan (IEP), the school district provides during the regular school day a Free Appropriate Education, in the following manner: The general curriculum is followed but special education teachers may not use the same materials and the pace of coverage of material may vary based on student need. The special education teacher may use different methods of presenting material to enable more effective learning. Different methods and timelines for turning in assignments may be followed. Additionally, time in class may be spent trying to strengthen reading, writing and math deficits. Tests and assignments may be modified in length and time allowed. However, entire course must be complete within the 3 week period. Other varied adaptations may be prevalent in the special education class dependent on the needs of the student. Students on an Individualized Education Plan may fail a summer school course if the teacher determines that the learning environment is adequate and there is simply minimal effort to learn on the part of the student. Repeating classes will result in the need to spend an additional year in school at the senior high school level. The Bixby Schools provide for extra time in school for students on individualized education plans. Students may stay in school to age twenty-one or until the completion of a secondary education program signified by earning the appropriate class credits for graduation. I understand the above information and still want my child to enroll in the summer school program. Furthermore, I acknowledge that the school district offers a free program during the school day and I am choosing to pay for the summer school program. Signed THIS MUST BE PRESENTED AT THE TIME OF ENROLLMENT IN THE SUMMER SCHOOL PROGRAM.

Summer School will be Tuesday May 29th- Friday June 29th 8:00am- (Monday- Friday). No Summer School Monday May 28th in honor of Memorial Day. Students are required to be present on campus at least (5) hours a week. The rest of the time students can work online at home. Teachers will be available everyday for office hours. Students that have questions/ need help/ tutoring may come in daily between 8:00am-. All students required to be present on the first day of summer school to take Prescriptive tests and on their last day to take cumulative Finals. If a student is not keeping up with course work they may be required to work on campus in the computer lab. Students will able to take (2) semester course (or one full year) in the summer school session. Summer School will be located in the Computer lab at the High School. The Computer lab is located on the 2 nd floor of the Science Building (two story building across from the concrete B). Please enter through the main front doors of the Science Building. Cost $150 per half credit (early bird special) before April 27 th at 12:00pm (all money and forms must be received by 12:00 on April 28 th ) after April 28 th cost goes to $175 to be paid at the time of enrollment in the form of cash, checks or money order. Ms. Hunter in Brassfield Learning Center will take all payments once all forms have been signed. No exceptions to early bird pricing will be made. will have a cap for Summer School this will be on a first-come-first serve basis. The below named student and/or parent understands the Credit Recovery/ First-Time Credit is an alternative education opportunity for the student. The student s continued enrollment in the program is conditional upon regular and punctual attendance, satisfactory progress in the course attempted, good attitude, and continual compliance with acceptable student behavior and BHS policies. Students must abide by all Internet/ Computer Agreements as well as all other rules and regulations in Summer School. The dress code and cell phone policy of will be in effect during Summer School. Students/ Parents are responsible for providing transportation. Students will be allowed frequent breaks and vending machines will be provided to purchase snacks. However, students are not allowed to leave campus upon arrival unless leaving for the day. Instruction is primarily internet-based. Questions regarding grades and grading policies can be addressed with the instructor/ principal. No refunds will be given for Summer School once registration occurs. Students who are removed for disciplinary reasons will not receive a refund. In order for a student to be successful in Bixby High Summer School it is expected they work outside of the summer school in-class hours in order to complete the course on time. Credits for Summer School will be determined as they are during the regular school year. I, have read the above policies and guidelines and agree that my participation is based upon my willingness to follow these guidelines. The Bixby Public School District does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities and provides equal access to the Boy Scouts and other designated youth groups.

May 2018 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Student Last Day of School 27 28 Memorial Day No Summer School 29 First Day of Summer School All students present to take prescriptive tests 8:00am Notes: Parent/ Student: Please keep one copy of the calendar for your records and sign the other copy and return it with your completed application. 30 Teacher on campus for tutoring 8:00am- I have read and understand to dates listed above. I also understand that if my student is dropped from the program I will not receive a refund.

May 2018 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Student Last Day of School 27 28 Memorial Day No Summer School 29 First Day of Summer School All students present to take prescriptive tests 8:00am Notes: Parent/ Student: Please keep one copy of the calendar for your records and sign the other copy and return it with your completed application. 30 Teacher on campus for tutoring 8:00am- I have read and understand to dates listed above. I also understand that if my student is dropped from the program I will not receive a refund.

I have read and understand to dates listed above. I also understand that if my student is dropped from the program I will not receive a refund. Parent/ Student: Please keep one copy of the calendar for your records and sign the other copy and return it with your completed application. ~ June 2018~ Sun Mon Tue Wed Thu Fri Sat 2 1 8:00am- 3 4 5 8:00am- 6 7 8:00am- 8 8:00am- 9 10 11 12 8:00am- 13 14 8:00am- 15 8:00am- 16 17 18 19 8:00am- 20 21 8:00am- 22 8:00am- 23 24 25 8:00am- 27 28 8:00am- 29 30 Last day of Summer School Student must be at 100% course completion by the end of Summer School day

I have read and understand to dates listed above. I also understand that if my student is dropped from the program I will not receive a refund. Parent/ Student: Please keep one copy of the calendar for your records and sign the other copy and return it with your completed application. ~ June 2018~ Sun Mon Tue Wed Thu Fri Sat 2 1 8:00am- 3 4 5 8:00am- 6 7 8:00am- 8 8:00am- 9 10 11 12 8:00am- 13 14 8:00am- 15 8:00am- 16 17 18 19 8:00am- 20 21 8:00am- 22 8:00am- 23 24 25 8:00am- 27 28 8:00am- 29 30 Last day of Summer School Student must be at 100% course completion by the end of Summer School day